| Philip Miracle Ennin Jr, APRN | |
|
269 Farmington Ave, Plainville, CT 06062-1335 | |
| (860) 655-2432 | |
| Not Available |
| Full Name | Philip Miracle Ennin Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 269 Farmington Ave, Plainville, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124843503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 164301 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 14447 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Miracle Ennin Jr, APRN 75 Gordon Ln, East Hartford, CT 06118-2222 Ph: (860) 655-2432 | Philip Miracle Ennin Jr, APRN 269 Farmington Ave, Plainville, CT 06062-1335 Ph: (860) 655-2432 |
Monika E. Kieltyka, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 N Mountain Rd, Plainville, CT 06062 Phone: 860-229-0100 Fax: 860-225-2647 | |
Danielle O'brien, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Plainville Internal Medicine, 120 West Main Street, Plainville, CT 06062 Phone: 860-747-0411 | |
Mr. Shawn Robert Putnam, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 440 New Britain Ave, Plainville, CT 06062 Phone: 860-793-0500 Fax: 860-793-1116 | |
Kayla Cristoferi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 N Mountain Rd Ste 102, Plainville, CT 06062 Phone: 860-224-5416 | |
Mrs. Deedee S Greco, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 W Main St, Plainville, CT 06062 Phone: 860-205-1650 | |
Patricia Ann Cables, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 Fax: 860-793-3520 | |
Teryn Andy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-798-8158 |